| Page (PDF) | 7 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Blake, Mr. Walter James |
| Place of Death | Somerset |
| Town of Death | Lawsonia Md |
| Sex | M |
| Race | Negro |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/31/1885 |
| Age (year, month, days) | 27 yrs 8 mos 16 Ds |
| Occupation or Employer | common laborer |
| Birthplace | Lawsonia, Md |
| Father's Name | William Blake |
| Father's Birthplace | Lawsonia, Md |
| Mother's Name | Frances Sterling |
| Mother's Birthplace | Lawsonia, Md |
| Informant (Relationship and Address) | Frances Sterling; Lawsonia, Md |
| Date of Death | 12/17/1912 |
| Cause of Death and Time Attended by Doctor | Pulmonary tuberculosis; 8/1912-12/19/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | general weakness; 1 or more yrs |
| Physician and Address | W.J. Barkley 208 W. 4th st. |
| Burial Place, Date, Undertaker, and Address | Lawsonia; 12/22/1912; A.J. Addams; Crisfield |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.